Quality Specialist

Operational Duties • Participates in the development of multi-disciplinary collaborative teams, and drives them to plan, formulate and agree comprehensive quality procedures. • Supports clinical services and Hospital accreditation activities; conducts accreditation orientation sessions, audits, maintains appropriate data, monitors standards & regulations to identify deficiencies and recommends activities to meet standards. • Coordinates Internal (clinical and support function) Audit process; prepares schedules, reports and helps in setting corrective action plan. • Reviews Patient complains and conducts Clinical Case reviews (care /negligence) for root cause analysis in order to facilitate effective resolutions. • Reviews and monitors Adverse Occurrence Reporting (AOR) for identification of actual and potential risks. • Recommends corrective and proactive methods for improvement; Issues AOR analysis &recommendations for improvement reports as assigned. • Conducts quarterly Quality awareness sessions. • Aides departments for the development of critical hospital plan (Disaster plans) and other accreditation requirements e.g. FMEA & RCA Training/Improvement Activities • Identifies process improvement requirements and ensures availability of updated internal processes that helps departments in delivery of patient care according to required standards. • Identifies non-compliance to established process standards, suggests improvement actions and reports to Manager - QSM • Identifies training needs (clinical) for Hospital staff, plans and delivers training according to the need and requirements. • Educates and conducts process trainings for Hospital staff in performance improvement concepts, principles, methodologies and clinical audits. • Participates in clinical services and Hospital-wide performance improvement activities (e.g., performance improvement projects, clinical pathways, Clinical guidelines & benchmarking). • Participate in committees, task forces and teams related to the Hospital’s performance improvement plan, as directed. General Duties • Tracks and monitors organizational Quality indicators. • Reviews the applicability of policies developed by clinical/non clinical departments and ensures implementation. • Participates in educational programs and in-service meetings. • Attends meetings as required. • Performs all additional assignments as requested by the Manager-QSM EDUCATION: MBBS/ Registered Nurse or Bachelor’s Degree in a related healthcare discipline. Certified Professional in Healthcare Quality (CPHQ)/ American Society of Quality (ASQ) certification or international equivalent preferred.